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Your Medical Benefits |
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Costco offers three medical plans: Choice Plus, Freedom of Choice and Hawaii PPO and HMO plan. Each plan provides coverage for the preventive and routine care you need to stay well, plus the services and treatment you need when you're ill or injured. The plans differ in how they pay for covered expenses. A brief overview of each plan is available. For more detailed information about plan benefits, coverage and features, see your Highlights Brochure and Summary Plan Description.
Important Reminders about Your Medical Benefits
Lifetime Maximum
Lifetime Maximum under the Medical Program means the maximum dollar amount the Program will pay in medical claims for a person covered under the Program. This maximum is $1,000,000 for full-time employees and $500,000 for part-time employees. Beginning in January 2007, Costco will refresh the lifetime maximum for any employee who has 10 or more years of service. For example, if you used $5,000 of your lifetime maximum by December 31, 2006, and you have 10 or more years of service, on January 1, 2007, your lifetime maximum will show that you have used $0. Then every January 1 after that, Costco will refresh the lifetime maximum for any employee who reached their 10-year anniversary or completed an additional 10 years of service during the previous calendar year. To find out what your remaining lifetime maximum benefit is log on to Aetna Navigator. It is also reflected on the bottom right hand corner of your Aetna Explanation of Benefits. Click here to view a FAQ about the lifetime maximum.
Estimate the Cost of Care
If you'd like to get an idea of just how valuable your medical benefits are, visit Aetna Navigator and use the Estimate the Cost of Care tools. This online feature lets you estimate the average costs of medical procedures, office visits, tests, and diseases and conditions. One of the tools you'll find is Price-a-Medical ProcedureSM, which compares how network provider fees compare to those outside the network - an excellent way to help manage your health care expenses.
Preventive Care Schedule
To stay healthy and prevent diseases, you can get certain screening tests, take preventive medicine if you need it, and practice healthy behaviors. Learn more about preventive screenings by viewing Aetna’s recommended preventive care schedule for children and adults.
Clinical Policy Bulletin
Clinical Policy Bulletins (CPBs) are written on selected clinical issues, especially addressing new technologies, new treatment approaches, and procedures. Members and other consumers should review the information in Aetna's CPBs with their treating doctors so that they may more fully understand them.
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